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12/29/2015 <br />POLICY NUMBER: LA16CGLO19568]C <br />COMMERCIAL GENERAL LIABILITY <br />CIS 20 37 04 13 <br />a= <br />Ly =1 ■ youg givi I [q <br />This eridursernent modifies insurance provided under the fuWwiny: <br />=1=9X*1:1:3 VrAll 1111*104"FAIM111111 <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s) <br />Location And Description Of Completed Operations <br />Any person or organization ft-A- whom you are <br />performing operations when you and such person or <br />organization have agreed in writing in a contract or <br />Agreement that -qLir-h person or orannization he added <br />as an additional insured on your policy. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section 11 - Who Is An Insured is amended to <br />inchirlp. as an additional insnrp.d: the par-,nn(s) nr <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury" or <br />"property damage" caused, in whole or in part, by <br />"your work" at the location designated and <br />described in the Schedule of this endorsement <br />performed for that additional insured and included <br />in the "products-completed operations hazard". <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted by <br />law; and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to <br />provide for such additional insured, <br />B. With respect to the insurance afforded to these <br />additional insi irp.ris, than fnllnwinC) m,; Pirldpril to <br />Section III - Limits Of Insurance: <br />If coverage provided to the additional insured is <br />required by a contract or agreement, the most we <br />wiil pay on behalf of the additional insured is the <br />amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Avallabie under the applicable Limits of <br />Insurance shown in the Declarations; <br />whichever is less, <br />This endorsement shall not increase the applicable <br />Limits of Insurance shown in the Declarations, <br />REVIEVVED BY� <br />CG 20 37 014 13 Oc Insurance Services Office, Inc., 2012 <br />27655147 1 Gi­� 1 1 2016 All Li—S 1 G4 �In1P BU,;taMant� 11 12/29/2913 la : C i ; 20 AM ( PST) 1 2 nP 3 <br />E1,H',110E [-IEREDA (PG �,7, U <br />Page 1 of 1 <br />